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Vermont rates for HCPCS 74174

Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $524.81 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $125.89 / $354.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $380.19 / $758.58
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$147.91 / $147.91 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $128.82 / $436.52
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$512.86 / $512.86 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $776.25 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $151.36 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$371.54 / $630.96 / $1,230.27
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,698.24
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $109.65 / $436.52
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$436.52 / $436.52 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $851.14 / $1,348.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $154.88 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $457.09 / $1,000.00